Form 14246 - Advance Refunding Bonds Compliance Check Questionnaire - 2011 Page 8

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Page 8 of 8
PART VII Current Awareness of Voluntary Compliance Options
7a. Are you aware of the following options available to voluntarily correct failures to comply
with post-issuance federal tax compliance requirements?
i. Taking remedial actions to redeem or defease nonqualified bonds pursuant to the
Yes
No
Income Tax Regulations?
If Yes, how did you become aware of this option?
This Questionnaire
Internal Revenue Service website
Bond Counsel
Conference
(GFOA, NABL etc.)
Internal Revenue Service publication
Other
ii. Entering into a closing agreement under the Tax Exempt Bonds Voluntary Closing
Yes
No
Agreement Program described on the Internal Revenue Service /Tax Exempt Bonds
website: , see VCAP under the heading Tax Exempt
Bond Community Topics
If Yes, how did you become aware of this option?
This Questionnaire
Internal Revenue Service website
Bond Counsel
Conference
(GFOA, NABL etc.)
Internal Revenue Service publication
Other
Under penalties of perjury, I declare that I have examined this completed questionnaire, including accompanying
documents and statements, and to the best of my knowledge and belief, the completed questionnaire contains all the
relevant facts relating to the answers to the questionnaire, and such facts are true, correct, and complete.
Signature:
Date:
Printed Name:
Title:
Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal
Revenue laws of the United States. We need it to ensure that you are complying with these laws.
The IRS may not conduct or sponsor, and an organization is not required to provide the information requested on a form
that is subject to the Paperwork Reduction Act unless the form displays a valid OMB number. Books or records relating to
a collection of information must be retained as long as their contents may become material in the administration of any
Internal Revenue law. Generally, tax returns and tax return information are confidential, as required by 26 U.S.C. 6103
and 6104.
14246
Catalog Number 57701Q
Form
(Rev. 05-2011)

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